Individual
ANA A CODIZ MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 HARBOR BLVD STE B210, COSTA MESA, CA 92627-5890
(949) 548-2273
(949) 548-4504
Mailing address
4201 W 5TH ST APT 105, SANTA ANA, CA 92703-3215
(714) 292-3071
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95016322
CA
Other
Enumeration date
01/08/2021
Last updated
02/11/2022
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